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The quantitative analysis of blood flow within central and
peripheral blood vessels has attracted more and more interest, for
with the rapid developments in vascular surgery and the
introduction of percutaneous transluminal angioplasty, it is becom
ing increasingly important to be able to measure regional blood
flow in man. In clinical radiology, angiography has been used
predominantly from the point of view of its morphological
applications. However, theoretically angiography may also be
regarded as a specific application of indicator-dilution
measurements of blood flow. The indicator is contrast medium (CM),
the changing concentration of which is re corded by cinematography
or video-electronic systems at sites downstream from the point of
injection. The curves of density thus obtained correspond to
indicator-di lution curves. The blood flow can be calculated from
the concentration-time curves ofCM in much the same way as it is
estimated from other indicator-dilution curves. In our early work
with clinical application of videodensitometric measurement of
blood flow in the iliac artery, we found that this method did not
offer as high a degree of accuracy as one would have expected from
investigations by other authors. We saw that we needed to examine
the following problems: 1. We had to investigate whether our
conventional X-ray equipment and video densitometer could be viewed
as a linear measuring system. To what extent do unavoidable
nonlinear changes in the measuring signals influence the blood flow
values? 2."
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